Deck 13: The Impact of Illness on Quality of Life

Question 1

What is not part of 'quality of life' (Qol)?

A) An individual's evaluation of life experience
B) An objective measure of someone's existence
C) The degree to which we can function physically
D) A person's view of others' lives

Answer 1

A person's view of others' lives

Question 2

Which of the following is not a domain measured in the WHOQOL-100?

A) Physical health
B) Social relationships
C) Level of independence
D) Employment

Answer 2

Employment

Question 3

Which of the following is not a condition-related psychosocial influence on Qol?

A) symptoms
B) Cognitive impairment
C) Communication impairment
D) Age

Answer 3

Age

Question 4

For what does the acronym QALY stand?

A) Quantity of active life years
B) Quality-adjusted life years
C) Quality of active life years
D) Quantity ameliorated life years

Question 5

Which of the following did Bijttebier et al's (2001) find?

A) Adults undergoing intensive treatment showed poorer QoL than those in remission
B) Children undergoing intensive treatment showed poorer QoL than those in remission
C) Children undergoing intensive treatment showed better QoL than those in remission
D) Adults undergoing intensive treatment showed better QoL than those in remission

Question 6

Leventhal and Colman (1997) state that QoL should be considered as what?

A) Stagnant
B) A concept assessed separate to its components
C) A process that is influenced by individuals' perceptions of various domains of their lives
D) A unidimensional process

Question 7

Ferrucci et al. (2000) investigated the relationship between disease severity and Qol. In which disease did they find a linear relationship (i.e. the more severe the symptoms, the lower perceived level of Qol)?

A) Coronary heart disease
B) Stroke
C) Parkinson's disease
D) Alzheimer's disease

Question 8

Which psychological responses to heart attack have been found to predict low Qol at 4 months follow-up (Lane et al., 2000)?

A) Depression and anxiety
B) Negative affect and anxiety
C) Depression and negative affect
D) Depression and neuroticism

Question 9

In healthy populations what psychological factor has been shown to have a large impact on QoL?

A) Life goals
B) Anxiety
C) Social support
D) Age

Question 10

Accurate estimates of QoL have proved difficult in patients with which disease?

A) Alzheimer's disease
B) Depression
C) Schizophrenia
D) Cardiovascular Disease

Question 11

A study with stroke patients aged from 32 to 90 years (Carod-Artal et al. 2000) found that age was not a predictor of Qol. Which of the following factors did they find to be more important to Qol?

A) Physical disability, depressed mood and age
B) Physical disability, depressed mood and gender
C) Physical disability, social isolation and gender
D) Social isolation, depressed mood and gender

Question 12

Measuring Qol increases the understanding about the multidimensional impact of illness, and the factors that moderate it. When Qol is measured to inform, what cannot be gained?

A) Interventions can be informed
B) Best practice can be gained
C) Patients can be informed
D) Cures can be guaranteed

Question 13

What is the main advantage of employing a generic measure of Qol?

A) It allows comparisons of Qol across different diseases
B) It does not address health issues
C) It allows for comparisons within a disease
D) None of the above

Question 14

In Australia from _______, residents in _______ will have access to assisted dying under certain conditions

A) 2020, Victoria
B) 2019, Queensland
C) 2019, Victoria
D) 2020, New South Wales

Question 15

QoL research has been criticised for the absence of theoretical models. In an attempt to bring theory to bear Carver and Scheier (1992) have employed their own theory known as:

A) Theory of cognitive adaptation to illness
B) Attribution theory
C) Self-categorisation theory
D) Self-regulation theory

Question 16

What are the main reasons suggested by Higginson and Carr (2001) as to why it may be fruitful to measure Qol in clinical practice?

A) To inform, disregard alternatives and promote communication
B) To misguide, evaluate alternatives and promote communication
C) To inform, evaluate alternatives and promote communication
D) To inform, evaluate alternatives, and promote health behaviour

Question 17

Why may comparing measures of health-related quality of life across cultures prove difficult?

A) The meaning of items may be lost in translation
B) The nature of diseases is the same across cultures
C) Words and concepts are similar across cultures
D) The meaning of items is the same across cultures

Question 18

What is the term used for when a person changes his/her view and possibly re-prioritise expectations and his/her life values?

A) Response adaptation
B) Response swing
C) Response shift
D) Response modification

Question 19

Yardley and Dibb (2007) found in their longitudinal study that participants had altered their views of their baseline quality of life 10 months after initial assessment. Which of the subscales was the only one unchanged?

A) Role functioning
B) Physical health
C) Social functioning
D) Emotional functioning

Question 20

Why may we not have a proper understanding of Qol in children?

A) Because of the use of proxy measures
B) Because of their cognitive limitations
C) Because of their difficulties with communication
D) Because of their cognitive limitations and the use of proxy measures